The World Bank pioneered global HIV and AIDS financing early in the emergency and remains committed to achieving Millennium Development Goal 6, to halt by 2015 and begin to reverse the spread of HIV and AIDS, through prevention, care, treatment, and mitigation services for those affected by HIV and AIDS.
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The objective of the Inter -
Governmental Authority on Development (IGAD) Regional
HIV/AIDS Partnership Program (IRAPP) Support Project for
Africa is to increase preventative... Show More + action, and reduce
misconception of cross border and mobile populations,
refugees, Internally Displaced Persons (IDPs), returnees and
surrounding host communities concerning Human
immunodeficiency virus infection / acquired immunodeficiency
syndrome (HIV/AIDS) prevention, treatment and mitigation in
selected sites in the IGAD member states; and establish a
common and sustainable regional approach to supporting these
populations in the IGAD member states. The project
objectives continue to be achievable and IGAD performance
satisfactory. According to the last implementation status
report (March 2013), all the key ratings are moderately
satisfactory. The project remains in compliance with the
Africa Catalytic Growth Fund (ACGF) agreement and all legal
covenants set out in the grant agreement with exception of
financial management requirements. Show Less -

The objective of the Inter -
Governmental Authority on Development (IGAD) Regional
HIV/AIDS Partnership Program (IRAPP) Support Project for
Africa is to increase preventative... Show More + action, and reduce
misconception of cross border and mobile populations,
refugees, Internally Displaced Persons (IDPs), returnees and
surrounding host communities concerning Human
immunodeficiency virus infection / acquired immunodeficiency
syndrome (HIV/AIDS) prevention, treatment and mitigation in
selected sites in the IGAD member states; and establish a
common and sustainable regional approach to supporting these
populations in the IGAD member states. The project
objectives continue to be achievable and IGAD performance
satisfactory. According to the last implementation status
report (March 2013), all the key ratings are moderately
satisfactory. The project remains in compliance with the
Africa Catalytic Growth Fund (ACGF) agreement and all legal
covenants set out in the grant agreement with exception of
financial management requirements. Show Less -

This restructuring paper proposes to
introduce changes in the Project Loan Agreement for the
Second HIV/AIDS Project for Barbados. Its objectives are to:
(i) modify... Show More + the Project's institutional arrangements to
strengthen the leadership and capacity by transferring
coordination, disbursement, and financial management
functions to the Ministry of Finance (MOF) and by
transferring procurement, monitoring, evaluation, and
supervision functions to the Ministry of Health (MOH); (ii)
revise the results framework by changing the final target
year for three indicators from 2012 when the surveys were
expected to be done, to 2013, the end of the Project, and by
changing the target for one indicator; and (iii) increase
the percentage of Bank financing of Eligible Program
Expenditures under Component 1 from 35 percent to 65 percent
to accelerate the disbursement in order to successfully
achieve the project's objectives. The Bank has assessed
the institutional capacity under the MOF and MOH for
managing fiduciary functions and found it satisfactory. The
revised governance structure will strengthen project
leadership and improve capacity for better performance. The
change to the target date for three results indicators is
due to delays in conducting related surveys, the data for
which will only become available in 2013. The change to the
target for one indicator is intended to scale back a target
value which had already been revised significantly above the
initial target. The increase to the percentage of eligible
Bank financing is in response to the global economic and
financial crisis, which affected revenue generation in Barbados. Show Less -

The Project Development Objective (PDO)
for the Vietnam HIV/AIDS Prevention Project is to assist the
Government of Vietnam in establishing and maintaining
national,... Show More + provincial and local policies and capacity to
design, implement, and evaluate information and service
delivery programs designed to halt the transmission of
HIV/AIDS among vulnerable populations and between vulnerable
populations and the general population. This Project Paper
(PP) presents an Additional Financing in the amount of GBP
5.83 million (USD 9.38 million equivalent) through a
DFID-financed Trust Fund grant. In addition, this PP seeks
approval of the Vice President of a restructuring
comprising: (i) minor revision of the Project Development
Objective by adding one vulnerable population (men having
sex with men) to the beneficiaries of the project; (ii)
revision of the results framework to measure the results
associated with the additional vulnerable population, and to
ensure that the country's set of national indicators is
used in the measurement of the project results; and (iii)
reallocation of project cost from Unallocated Category to
provincial Sub Grants Category under Part A of the project. Show Less -

The objectives of the Inter-Governmental
Authority on Development (IGAD) Regional HIV/AIDS
Partnership Program (IRAPP) Support Project for Africa are
to: increase preventative... Show More + action, and reduce misconception
of cross border and mobile populations, refugees, Internally
Displaced Persons (IDPs), returnees and surrounding host
communities concerning HIV/AIDS prevention, treatment and
mitigation in selected sites in the IGAD member states; and
establish a common and sustainable regional approach to
supporting these populations in the IGAD member states. This
will be the fourth extension of the project. The first one
was approved for six months on December 23, 2011; the second
for four months on June 27, 2012; and the third for two
months on October 31, 2012. No legal clearance is required
for this restructuring. A request to extend the project
closing date by the Implementing Agency (IGAD) is not
required. The need to extend the project closing date was
occasioned by delay to process the additional financing, or
AF in a timely manner. Show Less -

The objectives of the Inter-Governmental
Authority on Development (IGAD) Regional HIV/AIDS
Partnership Program (IRAPP) Support Project for Africa are
to: increase preventative... Show More + action, and reduce misconception
of cross border and mobile populations, refugees, Internally
Displaced Persons (IDPs), returnees and surrounding host
communities concerning HIV/AIDS prevention, treatment and
mitigation in selected sites in the IGAD member states; and
establish a common and sustainable regional approach to
supporting these populations in the IGAD member states. This
will be the fourth extension of the project. The first one
was approved for six months on December 23, 2011; the second
for four months on June 27, 2012; and the third for two
months on October 31, 2012. No legal clearance is required
for this restructuring. A request to extend the project
closing date by the Implementing Agency (IGAD) is not
required. The need to extend the project closing date was
occasioned by delay to process the additional financing, or
AF in a timely manner. Show Less -

The Inter-Governmental Authority on
Development (IGAD) Regional HIV/AIDS Partnership Program
(IRAPP) Support Project development objective (PDO) is to:
(i) increase... Show More + preventative action, and reduce misconception
of cross border and mobile populations, refugees, Internally
Displaced Persons (IDPs), returnees and surrounding host
communities concerning HIV/AIDS prevention, treatment and
mitigation in selected sites in the IGAD member states; and
(ii) establish a common and sustainable regional approach to
supporting these populations in the IGAD member states. It
is that the closing date for the project will be extended
from October 31, 2012 until December 31, 2012. Reason for
this request: the Bank sent Canadian International
Development Agency (CIDA) the Call of Funds for the TF
balance on October 18, but CIDA is yet to transfer the
funds. The Task Team Leader (TTL) discussed the matter with
Trust Funds Quality Assurance and Compliance and agreed on
an approach to resolve the issue, which consists of briefing
Corporate Finance and Partnerships for them to initiate a
dialogue with the Canadian Executive Director (ED). That is
in addition to the ongoing sector unit communications with
CIDA. Meanwhile, the parent project has to remain active.
The project remains in compliance with the Africa Catalytic
Fund Grant (ACGF) Agreement and all legal covenants set out
in the Project Appraisal Document (PAD). The project
objectives continue to be achievable and IGAD performance is
satisfactory as well. The Bank's review of IGAD's
interim financial reports for the quarter ending on June 30,
2012 shows satisfactory result. The project is also in
compliance with the external audit requirements. Finally,
the recipient has prepared an action plan acceptable to the
Bank to further improve its financial management performance. Show Less -

The Inter-Governmental Authority on
Development (IGAD) Regional HIV/AIDS Partnership Program
(IRAPP) Support Project development objective (PDO) is to:
(i) increase... Show More + preventative action, and reduce misconception
of cross border and mobile populations, refugees, Internally
Displaced Persons (IDPs), returnees and surrounding host
communities concerning HIV/AIDS prevention, treatment and
mitigation in selected sites in the IGAD member states; and
(ii) establish a common and sustainable regional approach to
supporting these populations in the IGAD member states. It
is that the closing date for the project will be extended
from October 31, 2012 until December 31, 2012. Reason for
this request: the Bank sent Canadian International
Development Agency (CIDA) the Call of Funds for the TF
balance on October 18, but CIDA is yet to transfer the
funds. The Task Team Leader (TTL) discussed the matter with
Trust Funds Quality Assurance and Compliance and agreed on
an approach to resolve the issue, which consists of briefing
Corporate Finance and Partnerships for them to initiate a
dialogue with the Canadian Executive Director (ED). That is
in addition to the ongoing sector unit communications with
CIDA. Meanwhile, the parent project has to remain active.
The project remains in compliance with the Africa Catalytic
Fund Grant (ACGF) Agreement and all legal covenants set out
in the Project Appraisal Document (PAD). The project
objectives continue to be achievable and IGAD performance is
satisfactory as well. The Bank's review of IGAD's
interim financial reports for the quarter ending on June 30,
2012 shows satisfactory result. The project is also in
compliance with the external audit requirements. Finally,
the recipient has prepared an action plan acceptable to the
Bank to further improve its financial management performance. Show Less -

The Second HIV/AIDS Prevention and
Control Project for Jamaica development objectives are to
assist in the implementation of the Government's
National HIV/AIDS Program... Show More + by supporting the: (i) deepening
of prevention interventions targeted at high risk groups and
the general population; (ii) increasing of access to
treatment, care and support services for infected and
affected individuals; and (iii) strengthening of program
management and analysis to identify priorities for building
the capacity of the health sector to respond to the HIV/AIDS
epidemic and other priority health problems. The changes are
to: (a) reallocate funds among project disbursement
categories; (b) extend the project closing date for four
months from November 30, 2012 to March 31, 2013; and (c)
provide a four months grace period for the project. The
changes will allow the project to complete the activities
that started late due to delayed budget allocation because
of the negative impact of the global economic down-turn on
the Government's budget. The reallocation will take
into account the actual costs and future needs of project
implementation and the four month grace period will allow
the project to complete payments after the project closing. Show Less -

The Second HIV/AIDS Prevention and
Control Project for Jamaica development objectives are to
assist in the implementation of the Government's
National HIV/AIDS Program... Show More + by supporting the: (i) deepening
of prevention interventions targeted at high risk groups and
the general population; (ii) increasing of access to
treatment, care and support services for infected and
affected individuals; and (iii) strengthening of program
management and analysis to identify priorities for building
the capacity of the health sector to respond to the HIV/AIDS
epidemic and other priority health problems. The changes are
to: (a) reallocate funds among project disbursement
categories; (b) extend the project closing date for four
months from November 30, 2012 to March 31, 2013; and (c)
provide a four months grace period for the project. The
changes will allow the project to complete the activities
that started late due to delayed budget allocation because
of the negative impact of the global economic down-turn on
the Government's budget. The reallocation will take
into account the actual costs and future needs of project
implementation and the four month grace period will allow
the project to complete payments after the project closing. Show Less -

The Second Multisectoral STI/HIV/AIDS
Prevention Project aims at supporting the Government of
Madagascar's efforts to promote a multi-sectoral
response to the HIV/AIDS... Show More + crisis and to contain the spread of
HIV/AIDS on its territory. In this context, and in line with
the recommendations of the December 2008 mid-term review as
well as the April and October 2011 supervision missions, the
restructuring includes: (a) eliminating the Fund for
STI/HIV/AIDS Prevention and Care-Taking which was not
effective in delivering key interventions to target
populations, (b) increasing the health sector response by
scaling-up contracting with non-government organizations
(NGOs) for delivery of services directly to target
populations, and (c) strengthening monitoring and evaluation
(M&E) including better aligning project activities to
intermediate and outcome indicators. In addition, the
project closing date will be extended by one year to
December 31, 2012 in order to consolidate achievements and
measure the results of proposed changes. Show Less -

The Second Multisectoral STI/HIV/AIDS
Prevention Project aims at supporting the Government of
Madagascar's efforts to promote a multi-sectoral
response to the HIV/AIDS... Show More + crisis and to contain the spread of
HIV/AIDS on its territory. In this context, and in line with
the recommendations of the December 2008 mid-term review as
well as the April and October 2011 supervision missions, the
restructuring includes: (a) eliminating the Fund for
STI/HIV/AIDS Prevention and Care-Taking which was not
effective in delivering key interventions to target
populations, (b) increasing the health sector response by
scaling-up contracting with non-government organizations
(NGOs) for delivery of services directly to target
populations, and (c) strengthening monitoring and evaluation
(M&E) including better aligning project activities to
intermediate and outcome indicators. In addition, the
project closing date will be extended by one year to
December 31, 2012 in order to consolidate achievements and
measure the results of proposed changes. Show Less -

The HIV/AIDS Technical Assistance
Project for Lesotho aims at building capacity of government
agencies and civil society organizations at both the
national and local... Show More + level to address the identified key gaps
in implementing the National HIV and AIDS strategic plan in
an effort to contain and reverse the epidemic. The second
level restructuring aims to: (i) realign the project with
the new National HIV/AIDS Strategic Plan (NSP) 2011-2016 by
focusing attention on key prevention and mitigation
measures: (ii) ensure a more strategic focus by
consolidating and prioritizing capacity strengthening
support; and (iii) sharpen the results focus through a
revised results framework with clearer linkages between the
activities to be financed and the expected outcomes. The
Project Development Objective (PDO) of building capacity of
government agencies and civil society organizations remains
relevant and will not be modified. The need for
restructuring and the broad strategic directions were
discussed during the April-May 2011 supervision mission.
Subsequently, the Bank team provided technical support to
the government to reach consensus among key stakeholders on
a core group of priority technical assistance activities.
During the annual meetings the Bank team met with the
delegation and firmed up commitment to the restructuring
which was finalized during the October 2011 mission. Show Less -

The HIV/AIDS Technical Assistance
Project for Lesotho aims at building capacity of government
agencies and civil society organizations at both the
national and local... Show More + level to address the identified key gaps
in implementing the National HIV and AIDS strategic plan in
an effort to contain and reverse the epidemic. The second
level restructuring aims to: (i) realign the project with
the new National HIV/AIDS Strategic Plan (NSP) 2011-2016 by
focusing attention on key prevention and mitigation
measures: (ii) ensure a more strategic focus by
consolidating and prioritizing capacity strengthening
support; and (iii) sharpen the results focus through a
revised results framework with clearer linkages between the
activities to be financed and the expected outcomes. The
Project Development Objective (PDO) of building capacity of
government agencies and civil society organizations remains
relevant and will not be modified. The need for
restructuring and the broad strategic directions were
discussed during the April-May 2011 supervision mission.
Subsequently, the Bank team provided technical support to
the government to reach consensus among key stakeholders on
a core group of priority technical assistance activities.
During the annual meetings the Bank team met with the
delegation and firmed up commitment to the restructuring
which was finalized during the October 2011 mission. Show Less -

The objective of the National HIV/AIDS
Prevention Support Project is to assist the Government of
Botswana to increase the coverage, efficiency, and
sustainability of... Show More + targeted and evidence-based HIV/AIDS
interventions through: (i) strengthening the National AIDS
coordinating agency's institutional management and
coordination capacity; and (ii) financing strategic and
innovative HIV/AIDS-related prevention and mitigation
activities. There are no changes being made to the
project's results and indicators, components, or
institutional arrangements. The project's costs,
financial management, disbursement, procurement
arrangements, closing date, safeguards, and environmental
assessment category also remain unchanged. Show Less -

The objective of the Second HIV/AIDS
Program Development Project for Nigeria is to reduce the
risk of HIV infections by scaling up prevention
interventions and to increase... Show More + access to and utilization of
HIV counseling, testing, care and support services. The
project was approved by the World Bank Board on June 16,
2009. Due to the changes in the procedures of the Federal
Government of the Republic of Nigeria, the credit agreement
was signed seventeen months later on November 25, 2010. The
restructuring includes: (i) extension of the closing date,
(ii) revisions of the performance indicators, baselines and
targets, and (iii) formal revision of the disbursement estimates. Show Less -

The objective of the Second HIV/AIDS
Program Development Project for Nigeria is to reduce the
risk of HIV infections by scaling up prevention
interventions and to increase... Show More + access to and utilization of
HIV counseling, testing, care and support services. The
project was approved by the World Bank Board on June 16,
2009. Due to the changes in the procedures of the Federal
Government of the Republic of Nigeria, the credit agreement
was signed seventeen months later on November 25, 2010. The
restructuring includes: (i) extension of the closing date,
(ii) revisions of the performance indicators, baselines and
targets, and (iii) formal revision of the disbursement estimates. Show Less -

The objectives of the AIDS Control
Project for Central Asia are: 1) to reduce the growth rate
of the HIV/AIDS epidemic in Central Asia in the period of
2005-2010; 2)... Show More + to establish in Central Asia a sustainable
mechanism, the regional AIDS fund, that will serve as a
vehicle for financing HIV/AIDS prevention and control
activities in the region during and beyond the life of the
project; and 3) to contribute to better regional cooperation
in Central Asia, and effective inter sectoral collaboration
between public sector, non-governmental organizations, and
private sector on HIV/AIDS control in this region. The
extension is necessary to allow the Regional Project
Management Unit (RPMU) to arrange for transfer of physical
assets (vehicles, computer and office equipment) and project
files. This is a somewhat sensitive process given the
involvement of four countries in the project. An extension
of the grace period without an extension of the grant
require the Euroasian Economic Community (EAEC) to finance
essential RPMU staff to complete the said arrangements which
is not an option as EAEC does not have such funds. This is
the second and final extension of the Grant closing date.
The first extension was for nine months. Therefore, this
represents a cumulative extension of twelve months. Show Less -

The objectives of the AIDS Control
Project for Central Asia are: 1) to reduce the growth rate
of the HIV/AIDS epidemic in Central Asia in the period of
2005-2010; 2)... Show More + to establish in Central Asia a sustainable
mechanism, the regional AIDS fund, that will serve as a
vehicle for financing HIV/AIDS prevention and control
activities in the region during and beyond the life of the
project; and 3) to contribute to better regional cooperation
in Central Asia, and effective inter sectoral collaboration
between public sector, non-governmental organizations, and
private sector on HIV/AIDS control in this region. The
extension is necessary to allow the Regional Project
Management Unit (RPMU) to arrange for transfer of physical
assets (vehicles, computer and office equipment) and project
files. This is a somewhat sensitive process given the
involvement of four countries in the project. An extension
of the grace period without an extension of the grant
require the Euroasian Economic Community (EAEC) to finance
essential RPMU staff to complete the said arrangements which
is not an option as EAEC does not have such funds. This is
the second and final extension of the Grant closing date.
The first extension was for nine months. Therefore, this
represents a cumulative extension of twelve months. Show Less -

The objective of the Second HIV/AIDS
Project for Barbados will support the implementation of the
national strategic plan for HIV prevention and control
2008-2013, specifically... Show More + to increase: (a) adoption of safe
behaviors, in particular amongst key populations at higher
risk; and (b) access to prevention, treatment and social
care, in particular for key populations at higher risk. The
changes are to: (i) allow for Bank funding to support the
development of a Health Management Information System (HMIS)
under component two of the project to strengthen the
country's capacity for evidence-based planning, (ii)
modify all nine performance indicators to separate out the
target from the indicator itself in the phrasing of each
indicator and refine the definitions and targets, and (iii)
increase Bank financing of component two expenditures for
goods and consultants' services from 79 percent to 100
percent due to the difficulty in providing counterpart
funding by the Government of Barbados due to the impact of
the global economic and financial crisis. Show Less -